scholarly journals A systematic review of electronic assistive technology within supporting living environments for people with dementia

Dementia ◽  
2017 ◽  
Vol 18 (7-8) ◽  
pp. 2371-2435 ◽  
Author(s):  
Jean Daly Lynn ◽  
Janeet Rondón-Sulbarán ◽  
Eamon Quinn ◽  
Assumpta Ryan ◽  
Brendan McCormack ◽  
...  
Keyword(s):  
Systematic Review ◽  
Assistive Technology ◽  
Lived Experience ◽  
Residential Care ◽  
People With Dementia ◽  
Health And Social Care ◽  
Supported Living ◽  
Technology Intervention ◽  
Living Environments

Health and social care provision needs to change in order to meet the needs of an increase in the number of people living with dementia. Environmental design, technology and assistive devices have the potential to complement care, help address some of the challenges presented by this growing need and impact on the lived experience of this vulnerable population. This systematic review was undertaken to identify the research on the use of electronic assistive technology within long-term residential care settings. A total of 3229 papers published from the inception of each of the databases up until May 2016 were retrieved from searches in four major databases. Sixty-one were identified to be included in the review. The inclusion criteria were: original peer reviewed journals; an electronic assistive technology intervention; with residents or tenants living with dementia or their family or paid caregivers; in supported living environments or residential care. The data extracted from the included studies focused on the methodology, technology, outcomes and the role of people living with dementia within the research. Overall, an extensive variety of technical interventions were found, with a broad range of methodological heterogeneity to explore their effect. Additionally, wide-spanning outcomes to support the potential of technology solutions and the challenges presented by such intervention were found.

scholarly journals Systematic Review Investigating Multi-disciplinary Team Approaches to Screening and Early Diagnosis of Dementia in Primary Care – What are the Positive and Negative Effects and Who Should Deliver It?

2017 ◽  
Vol 15 (1) ◽  
pp. 5-17 ◽  
Author(s):  
Toby Smith ◽  
Jane Cross ◽  
Fiona Poland ◽  
Felix Clay ◽  
Abbey Brookes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Early Diagnosis ◽  
Service Providers ◽  
Care Practice ◽  
Initial Contact ◽  
Negative Effects ◽  
People With Dementia ◽  
Health And Social Care ◽  
Early Diagnostic

Background: Primary care services frequently provide the initial contact between people with dementia and health service providers. Early diagnosis and screening programmes have been suggested as a possible strategy to improve the identification of such individuals and treatment and planning health and social care support. Objective: To determine what early diagnostic and screening programmes have been adopted in primary care practice, to explore who should deliver these and to determine the possible positive and negative effects of an early diagnostic and screening programme for people with dementia in primary care. Methods: A systematic review of the literature was undertaken using published and unpublished research databases. All papers answering our research objectives were included. A narrative analysis of the literature was undertaken, with the CASP tools used appropriately to assess study quality. Results: Thirty-three papers were identified of moderate to high quality. The limited therapeutic options for those diagnosed with dementia means that even if such a programme was instigated, the clinical value remains questionable. Furthermore, accuracy of the diagnosis remains difficult to assess due to poor evidence and this raises questions regarding whether people could be over- or under-diagnosed. Given the negative social and psychological consequences of such a diagnosis, this could be devastating for individuals. Conclusion: Early diagnostic and screening programmes have not been widely adopted into primary care. Until there is rigorous evidence assessing the clinical and cost-effectiveness of such programmes, there remains insufficient evidence to support the adoption of these programmes in practice.

State-of-the-Art Assistive Technology for People with Dementia

2013 ◽  
pp. 1606-1625
Author(s):  
Clifton Phua ◽  
Patrice Claude Roy ◽  
Hamdi Aloulou ◽  
Jit Biswas ◽  
Andrei Tolstikov ◽  
...  
Keyword(s):  
Assistive Technology ◽  
State Of The Art ◽  
Smart Homes ◽  
The Elderly ◽  
Plan Recognition ◽  
Social Health ◽  
People With Dementia ◽  
Caregiver Needs ◽  
Remote Care

The work is motivated by the expanding demand and limited supply of long-term personal care for People with Dementia (PwD), and assistive technology as an alternative. Telecare allows PwD to live in the comfort of their homes for a longer time. It is challenging to have remote care in smart homes with ambient intelligence, using devices, networks, and activity and plan recognition. Our scope is limited to mostly related work on existing execution environments in smart homes, and activity and plan recognition algorithms which can be applied to PwD living in smart homes. PwD and caregiver needs are addressed in a more holistic healthcare approach, domain challenges include doctor validation and erroneous behaviour, and technical challenges include high maintenance and low accuracy. State-of-the-art devices, networks, activity and plan recognition for physical health are presented; ideas for developing mental training for mental health and social networking for social health are explored. There are two implications of this work: more needs to be done for assistive technology to improve PwD’s mental and social health, and assistive software is not highly accurate and persuasive yet. Our work applies not only to PwD, but also the elderly without dementia and people with intellectual disabilities.

Decentralisation of long-term care in the Netherlands: the case of day care at green care farms for people with dementia

2013 ◽  
Vol 35 (4) ◽  
pp. 704-724 ◽  
Author(s):  
STÉPHANIE J. M. NOWAK ◽  
CLAUDIA C. M. MOLEMA ◽  
CAROLINE A. BAAN ◽  
SIMON J. OOSTING ◽  
LENNEKE VAANDRAGER ◽  
...  
Keyword(s):  
The Netherlands ◽  
Day Care ◽  
Central Government ◽  
Municipal Services ◽  
Term Care ◽  
Care Services ◽  
People With Dementia ◽  
Health And Social Care ◽  
Green Care Farms

ABSTRACTResponsibility for health and social care services is being delegated from central to local authorities in an increasing number of countries. In the Netherlands, the planned transfer of responsibility for day care for people with dementia from the central government to municipalities is a case in point. The impacts of this decentralisation process for innovative care concepts such as day care at green care farms are largely unknown. We therefore interviewed representatives of municipalities and green care farms to explore what consequences they expected of decentralisation for their organisations and people with dementia. Our study shows that communication and collaboration between municipalities and green care farms is relatively limited. Consequently, municipalities are insufficiently aware of how green care farms can help them to perform their new tasks and green care farmers know little about what municipalities expect from them in the new situation. We therefore recommend that municipalities and green care farms keep each other informed about their responsibilities, duties and activities to ensure a tailored package of future municipal services for people with dementia.

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